Case report: Right atrial appendage hybrid access to bailout a stuck stent from the inferior vena cava of a small child

Radityo Prakoso; Aditya Agita Sembiring; Latifa Hernisa; Brian Mendel; Olfi Lelya; Oktavia Lilyasari

doi:10.3389/fcvm.2022.1084170

Case report: Right atrial appendage hybrid access to bailout a stuck stent from the inferior vena cava of a small child

Front Cardiovasc Med. 2023 Jan 25:9:1084170. doi: 10.3389/fcvm.2022.1084170. eCollection 2022.

Authors

Radityo Prakoso¹, Aditya Agita Sembiring¹, Latifa Hernisa², Brian Mendel^{1

3}, Olfi Lelya¹, Oktavia Lilyasari¹

Affiliations

¹ Department of Cardiology and Vascular Medicine, Division of Pediatric Cardiology and Congenital Heart Disease, National Cardiovascular Center Harapan Kita, Universitas Indonesia, Jakarta, Indonesia.
² Division of Pediatric and Congenital Heart Surgery, National Cardiovascular Centre of Harapan Kita, Universitas Indonesia, Jakarta, Indonesia.
³ Department of Cardiology and Vascular Medicine, Sultan Sulaiman Government Hospital, Serdang Bedagai, Sei Rampah, Indonesia.

Abstract

A three-month-old baby boy (5. 4 Kg) with pulmonary atresia, subaortic ventricular septal defect (VSD), and patent ductus arteriosus (PDA) was sent for ductal stenting from the femoral vein. The route to the PDA was extremely tortuous and the procedure was complicated with a stent stuck in the abdominal inferior vena cava (IVC). Transfemoral stent recapture was technically laborious and the stent was successfully recaptured across a 10-Fr right atrial appendage (RAA) hybrid access avoiding a cardiopulmonary bypass (CBP). The PDA was subsequently stented for the femoral artery with satisfactory clinical outcomes.

Keywords: ductal stenting; inferior vena cava; patent ductus arteriosus; single ventricle; strutted stent.

Publication types

Case Reports